Graham, Joseph A

Graham, Joseph A is an individual health care provider with primary practice located at 1340 Broad Avenue Suite 220, Gulfport MS 39501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Graham, Joseph A can be contacted via phone (228) 575-1300.

Contact Information

Primary practice address
1340 Broad Avenue Suite 220 Gulfport MS 39501
Phone: (228) 575-1300
Fax: (228) 867-6423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 059594 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20350 Mississippi

Profile Details

NPI number 1225096860
LBN Legal business name Graham, Joseph A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225096860 NPPES
Florida Other 2977616 CIGNA PROVIDER #
Florida Other 53064 CIGNA PROVIDER #
Florida MEDICAID 5108802 CIGNA PROVIDER #
Florida Other 7616821 CIGNA PROVIDER #
Florida MEDICAID 276169600 CIGNA PROVIDER #

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